Confidential (When Filled)

Candidate Information Form

Post Applied for: IT TRAINEE

PERSONAL DATA
FULL NAME: GRISHMA SUNIL BORSE
DATE OF BIRTH (dd/mm/yy): PLACE OF BIRTH: ULHASNAGAR
25/03/1998
CURRENT ADDRESS PERMANENT ADDRESS
303, SHEETAL CHHAYA, LAL CHAKKI, 303, SHEETAL CHHAYA, LAL CHAKKI, ULHASNAGAR 4
ULHASNAGAR 4

LANDMARK
LANDMARK
CONTACT TELEPHONE NOS.: Residence: Mobile:
9022818740/9075134357
E-MAIL ID: BORSEGRISHMA98@GMAIL.COM
BLOOD GROUP: O-VE

ACADEMIC & PROFESSIONAL QUALIFICATIONS (starting from the Highest education)

Name of College/Institution: Course Pursued: BACHELOR OF ENGINEERING
INDIRA COLLEGE OF ENGINEERING & Year of Passing: 2021
MANAGEMENT Seat No: B150524216
Affiliated University: SAVITRIBAI PHULE
PUNE UNIVERSITY
Address: GAT NO 276, TAL. MAVAL, S.NO 64,65, INDIRA COLLEGE ROAD, PARANDVADI,
MAHARASHTRA 410506

Period: From (mm/yyyy): 08/2018 Full Time

To (mm/yyyy): 07/2021 Part Time
Correspondence
Marks/Percentage/CPA Obtained: 69.3% Result Awaited

Name of College/Institution: Y.B PATIL Course Pursued: DIPLOMA IN COMPUTER

POLYTECHNIC ENGINEERING
Affiliated University: MAHARASHTRA Year Of Passing: 2018
STATE BOARD OF TECHNICAL Seat No: 232456
EDUCATION
Address:
Y.B PATIL POLYTECHNIC, SECTOR 29 NIGDI, PRADHIKARAN, AKURDI, PUNE, MAHARASHTRA
411044

Period: From (mm/yyyy): 06/2016 Full Time

To (mm/yyyy): 05/2018 Part Time
Correspondence
Marks/Percentage/CPA Obtained: 64.25 Result Awaited

Name of College/Institution: Course Pursued: HSC

NEW ENGLISH HIGH SCHOOL AND JR Year of Passing: 2016
COLLEGE Seat No: M18585
Affiliated University: MAHARASHTRA
STATE BOARD OF SECONDARY AND
HIGHER SECONDARY EDUCATION
Address: NEW ENGLISH HIGH SCHOOL AND JR COLLEGE, KAILASH COLONY, ULHASNAGAR,
MAHARASHTRA 421005
 Confidential (When Filled)
Period: From (mmm/yyyy): 06/2015 Full Time
To (mmm/yyyy): 05/2015 Part Time
Correspondence
Marks/Percentage/CPA Obtained: 51.69 % Result Awaited

Name of College/Institution: SWAMI Course Pursued: SSC

VIVEKANAND HIGH SCHOOL Year of Passing: 2014
Affiliated University: MAHARASHTRA Seat No: E067764
STATE BOARD OF SECONDARY AND
HIGHER SECONDARY EDUCATION
Address: SWAMI VIVEKANAND HIGH SCHOOL, 65Q5+PX9, SIDHI VINAYAK NAGAR,
ULHASNAGAR, MAHARASHTRA 421001

Period: From (mmm/yyyy): 2013 Full Time

To (mmm/yyyy): 2014 Part Time
Correspondence
Marks/Percentage/CPA Obtained: 80% Result Awaited

AUTHORISATION TO CONDUCT PRE-EMPLOYMENT SCREENING

All the information furnished by me in the Candidate Information Sheet is true to the best
of my knowledge. I hereby authorize the SecUR Credentials Ltd or any third party retained
by them to make inquiries, either by written communication, by telephone, online, or in
person to any former employer, government agency, educational institution, state police,
military establishment or any other persons or institutions knowledgeable of my background
as to my prior history, work experience, nature of duties, CTC, performance levels,
reliability, responsibility, honesty and any other measures of my character or personality.

A Photostat, or any other copy, of this instrument bearing my signature shall be equally
legally valid as the original.

SIGN: ________________________

NAME: GRISHMA SUNIL BORSE

DATE: 1 AUGUST, 2021

PLACE: PUNE

Please confirm if you have attached the following (Mandatory):

Photocopy of relevant highest educational qualification mark sheet or
degree certificate.

Photocopy of experience/ relieving/Service certificate of ex-employment

/ Salary slips which captures Employee ID